Provider Demographics
NPI:1033436076
Name:RUSSELL, HOPE B (MS,LPC)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:B
Last Name:RUSSELL
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 TEAKWOOD LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4421
Mailing Address - Country:US
Mailing Address - Phone:972-985-9579
Mailing Address - Fax:
Practice Address - Street 1:2115 TEAKWOOD LN
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4421
Practice Address - Country:US
Practice Address - Phone:972-985-9579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional